Application of diagnosis related groups indexes in nursing human resource allocation of internal medicine system

Objective To explore the effects of diagnosis related groups (DRGs) related indexes in nursing human resource allocation of internal medicine system so as to provide a basis for reasonably allocating nursing human resource. Methods This study retrospectively consulted the medical record information of inpatients in internal medicine system of Linyi People's Hospital from 1st January 2017 to 31st December 2017, analyzed the production capacity of internal medicine system in 2017. Based on the capacity, this study allocated 2018 nursing human resource allocation of internal medicine, and compared the production capacity scores of internal medicine capacity, the medical service efficiency, medical service safety, nursing quality, satisfaction of nurses with nursing human resource allocation and patients' satisfaction with nursing care before and after implementation. SPSS18.0 software was used in data processing and analysis. Results After allocating nursing human resource based on DRGs capacity score, the production capacity scores were higher than those before implentation; the time efficiency of medical service efficiency reduced compared with that before implementation; ward management quality, nursing safety management quality, clinical nursing service quality, nursing documentation writing quality, health education quality, critical patients management quality, disinfection isolation quality, patients' satisfaction with nursing care and satisfaction of nurses with nursing human resource allocation in 2018 internal medicine system improved compared with those before implementation with statistical differences (t=-3.636、3.367、-13.090、-14.665、-11.630、-10.005、-11.572、-13.941、-8.906; P<0.05) . Conclusions Nursing human resource allocation based on DRGs capacity score could cover the demand of clinical nursing work, improve the work efficiency and nursing quality, and increase satisfaction of patients and nurses under the condition of limited nursing human resource. Key words: Nursing staff; Nursing human resource allocation; Diagnosis related groups; Capacity; Internal medicine